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[脐动脉多普勒在孕期监测中的作用]

[The role of umbilical Doppler in the monitoring of pregnancy].

作者信息

Zerr V, Le Lann D

机构信息

Service de Gynécologie et Obstétrique, Centre Hospitalier Général, Haguenau.

出版信息

Rev Fr Gynecol Obstet. 1991 Oct;86(10):571-3.

PMID:1763265
Abstract

Doppler recordings from the umbilical cord in utero explores the placental reserves and fetal well being. Compliance with the technical conditions of performance ensures reliability of the determination. This examination predicts the state of the child at birth, particularly in cases of delayed intra-uterine growth, maternal hypertension or gestosis, and in cases of twin pregnancies. The change is maximum when the umbilical diastolic flow disappears. In the absence of any pathological context, a congenital or chromosomal abnormality should be considered and the fetal karyotype should be determined. Follow-up is carried out during hospitalization, and the decision on whether to extract the fetus is based on cerebral Doppler recordings and a detailed analysis of the fetal heartbeat.

摘要

子宫内脐带的多普勒记录可探究胎盘储备和胎儿健康状况。符合操作技术条件可确保测定的可靠性。此项检查可预测胎儿出生时的状况,尤其是在宫内生长迟缓、母亲高血压或妊娠中毒症以及双胎妊娠的情况下。当脐动脉舒张期血流消失时变化最大。在没有任何病理情况时,应考虑先天性或染色体异常,并确定胎儿核型。住院期间进行随访,是否引产的决定基于脑多普勒记录和对胎儿心跳的详细分析。

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Rev Fr Gynecol Obstet. 1991 Oct;86(10):571-3.
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